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General NPI Number Information
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NPI Number | 1023387156
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Entity Type | Organization
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Legal Business Name | TENDER ROCK COUNSELING
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 12826 SE 40TH LN SUITE 203
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City | BELLEVUE
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State | WA
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Zip | 98006-4278
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Country | US
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Telephone | 425-449-8851
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Fax |
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Provider Business Mailing Address
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Address Line | 12826 SE 40TH LN SUITE 203
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City | BELLEVUE
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State | WA
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Zip | 98006-4278
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Country | US
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Telephone | 425-449-8851
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SHIN-LU M LIU
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Credential | LMFT, MA
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Telephone | 425-449-8851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF60232702
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License Number State | WA
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